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췌장암과 감별하기 어려웠던 갑상선 유두암의 췌장 전이 1예

Other Titles
 A Case of Pancreatic Metastasis From a Papillary Thyroid Carcinoma Mimicking Pancreatic Cancer 
Authors
 이지훈  ;  이동기  ;  장성일  ;  최홍규  ;  박찬익  ;  윤지은  ;  홍순원 
Citation
 Korean Journal of Medicine, Vol.87(2) : 187-192, 2014 
Journal Title
 Korean Journal of Medicine 
ISSN
 1738-9364 
Issue Date
2014
Keywords
Cancer of the thyroid ; Pancreatic cancer ; Fine-needle aspiration ; Endoscopic ultrasonography
Abstract
Papillary thyroid cancer (PTC) has a good prognosis and a low incidence of distant metastases. It is extremely rare for PTC to metastasize to the pancreas. Only five cases have been previously reported worldwide. Most cases are discovered incidentally by abdominal computed tomography (CT) or positron emission tomography-CT (PET-CT) during follow-up studies after thyroidectomies. Pancreatic metastasis of PTC is usually unidentifiable by a whole-body I131 scan, a common follow-up modality. When a pancreatic mass is found in patients with PTC, it must be differentiated from pancreatic cancer. In previous reports, patients with pancreatic metastases of PTC underwent operations for therapeutic diagnosis or underwent fine needle aspiration biopsies (FNAB). However, it is unclear whether the benefit of an operation outweighs the risk. We experienced a case of PTC with pancreatic metastasis that was found on PET-CT. Contrast-enhanced endoscopic ultrasonography (EUS) was performed to evaluate the characteristics of the pancreatic mass and pathological confirmation was obtained cytologically via EUS-FNA.
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Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
Yonsei Authors
이동기(Lee, Dong Ki) ORCID logo https://orcid.org/0000-0002-0048-9112
이지훈(Lee, Ji Hoon)
장성일(Jang, Sung Ill) ORCID logo https://orcid.org/0000-0003-4937-6167
최홍규(Choi, Hong Kyu)
홍순원(Hong, Soon Won) ORCID logo https://orcid.org/0000-0002-0324-2414
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163585
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